HAL Membership Application

Your first name

Your last name

NOTE: Username must be between 4 and 49 characters or else leave it blank. If left blank the e-mail address entered will become the Username.

Username

Email address

Retype email address

Password requirements = 8-20 characters. At least one each of lower case letters, upper case letters, numbers, and special characters.

Retype login password

Street address

Street address line 2

City

State

ZIP Code

Cell / Home phone

Dues are $25/year for individuals and $30/year for a family membership.

Membership Type

Individual Family

Membership Term

Astronomical League "The Reflector" Magazine Delivery

How did you hear about us?

Fields denoted with asterisks are required.

If signing up for a Family Membership only the Main Member is entered on this screen. Once this transaction is completed, please log into your account, select "Update My Membership Record" and enter the information for each desired family member there.